Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2024 Salary.com)
Job description
Position: RN - Resident Care Coordinator
Location: Bedford Care Center of Mendenhall
Equal Employment Opportunity Statement
Bedford Care Center is an equal opportunity employer and does not discriminate against applicants or Employees for race, color, religion, age, sex, national origin, disability or any other reasons prohibited by Law.
Job Summary:
Supervises and coordinates care of assigned Residents, compliant with Company Policies, State, Federal Laws and Regulations; must exhibit sound judgment, have a sincere desire to work with elderly; must communicate courteously and respectfully with Residents, families, Employees and others
Qualifications:
RN Nursing License in good standing in State of Mississippi; must attain TB Certification, QAPI Certification; minimum two years’ experience in Long-Term Care with thorough knowledge of principles and practices of Long-Term Care, knowledge of State and Federal Regulations for Long-Term Care; must pass drug screens and have a satisfactory Criminal History Background Check
Duties and Responsibilities:
Excellent Benefits:
Bedford Care Centers offer a comprehensive benefits package to our full time employees. It is our desire to demonstrate to our employees and their families that we value them through the offering of a benefits package that positively contributes to their quality of life. A summary of benefits offered includes:
Paid Time Off (PTO) including:
Insurance benefits including:
Other Benefits:
IF CONTACTED, YOU WILL BE REQUESTED TO COMPLETE A MORE THOROUGH APPLICATION AT THE FACILITY.
Job Type: Full-time
Salary: 30.00 per hour
Benefits:
Job Type: Full-time
Pay: From $30.00 per hour
Benefits:
Application Question(s):
Experience:
License/Certification:
Work Location: In person
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